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6316202 
Journal Article 
Poly- and perfluoroalkyl substance concentrations in human breast milk and their associations with postnatal infant growth 
Jin, H; Mao, L; Xie, J; Zhao, M; Bai, X; Wen, J; Shen, T; Wu, P 
2020 
Science of the Total Environment
ISSN: 0048-9697
EISSN: 1879-1026 
713 
136417 
English 
is supplemented by 10284765 Supporting information:
Perfluoroalkyl carboxylates (PFCAs) and perfluoroalkyl sulfonates are widespread in human breast milk. However, the occurrence of chlorinated polyfluorinated ether sulfonates (Cl-PFESAs) and fluorotelomer alcohols (FTOHs) in breast milk and their effects on postnatal growth of infants through breast milk consumption are still not well known. This study characterized the occurrence of 16 poly- and perfluoroalkyl substances (PFASs) in breast milk from 174 women in Hangzhou, China and investigated the association between lactation exposure to these PFASs through breast milk consumption and the postnatal growth of infants. Our results showed that perfluorooctanoate (mean 87 pg/mL) was the predominant PFAS in breast milk, followed by perfluorohexanoate (41 pg/mL), 6:2 Cl-PFESA (28 pg/mL), and perfluorooctane sulfonate (25 pg/mL). The occurrence and levels of Cl-PFESAs in Chinese breast milk were firstly reported in the current study. The 8:2 and 10:2 FTOH were detected in half of breast milk samples, with the mean concentration of 9.0 pg/mL and 10 pg/mL, respectively. Breast milk concentrations of C8-C10 PFCAs and 6:2 Cl-PFESA were negatively correlated with infant's length gain rate. Exposed to higher levels of 8:2 FTOH were correlated with decreased infant's weight gain rate. Daily intakes of PFASs via the consumption of breast milk were calculated for infants. Overall, this study firstly demonstrated that lactation exposure to C8-C10 PFCAs, 8:2 FTOH, and 6:2 Cl-PFESA through breast milk consumption may affect the postnatal growth of infants. 
Postnatal infant growth; Human breast milk; Chlorinated perfluoroalkyl ether sulfonic acid; Perfluorooctane sulfonate 
IRIS
• PCBs
     Excluded
     Litsearches
          Litsearch: Aug 2019 - Aug 2020
               WoS
• Additional PFAS (formerly XAgency)
     Literature Search November 2019
          Other Sources
               Reference list review of included studies
     Screened Studies
          Included
               Include (TIAB)
               Include (Full Text)
• Expanded PFAS SEM (formerly PFAS 430)
     Litsearch Update: November 2021
          PubMed
          Web of Science
     Perfluorooctane
• PFAS 150
     Literature Search Update December 2021
          WOS
     Missing 2021 searches
     Literature Search Update December 2020
          PubMed
     Literature Search August 2019
          PubMed
          Other sources
               Reference list review of included studies
     Screened Studies
          Included
               Include (TIAB)
               Include (Full Text)
     6:2 Fluorotelomer alcohol
     Perfluorooctane
     (Perfluorooctyl)ethanol
• PFBA
     Literature Search Update 4/2022
     June 2022 Pelch Database
• PFDA
     June 2022 Pelch Database
     Submitted to EPA
     Literature Searches (through April 2023 update and post-public comment/peer review)a    
          Other
               Published PFAS SEMs
          Title & Abstract Screening
               Tagged as Supplemental
                    Full Text Screening
                         Studies Meeting PECO
                              Human health effects studies
• PFHxA
     LitSearch Update: May 2019 - May 2020
          PubMed
          WoS
     Scopus: April 2021
     Results pulled from Pelch database May 2022
     HAWC
• PFHxS
     Database searches
          Other
     Inclusion
          Full Text
               Human Study
• PFNA
     Title and Abstract Screening
          Full Text Screening
               Studies Meeting PECO
                    Human health effects studies
     June 2022 Pelch Database
• PFOA (335-67-1) and PFOS (1763-23-1)
     LitSearch: Feb 2019 - May 2020
          PubMed
          WoS
     Literature Search Update (Apr 2019 - Sep 2020)
          PubMed
          WOS
• PFOA and PFOS OW MCLG Approaches
     Cited in White Papers